前列腺支架:对当前证据的叙述性审查
Clara Cerrato1, Vaki Antoniou1, Shriya Napolean Fernandes1
1University Hospital Southampton NHS Trust, Southampton, UK.
Therapeutic advances in urology
|June 3, 2024
概括
良性前列腺增生症 (BPH) 的治疗包括手术和药物治疗,但前列腺支架提供了一个微创的选择. 目前的支架有望改善生活质量,但需要进行长期研究.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
背景情况:
- 良性前列腺增生 (BPH) 是老年男性中普遍存在的疾病,通常使用保守,药理或手术方法进行治疗.
- 现有的BPH治疗方法存在性功能障碍的风险,可能不适合患有并发症的患者.
- 前列腺支架是一个最小的侵入性替代品,适合门诊机构.
研究的目的:
- 审查BPH管理前列腺支架的演变和当前状态.
- 评估现有的前列腺支架的有效性和安全性.
- 确定对最新的支架技术进行进一步研究的需要.
主要方法:
- 审查历史和当前的前列腺支架装置.
- 对临床结果的分析,包括疗效,安全性和患者报告的生活质量.
- 讨论与以前和现在的支架技术相关的并发症.
主要成果:
- 早期的前列腺支架 (永久性,临时性,生物降解性) 的并发症率很高.
- 目前的临时支架 (例如,Allium,SPANNER) 在膀外流阻塞和尿路保留方面显示出令人鼓舞的结果.
- 研究表明,改善了生活质量和国际前列腺症状评分 (IPSS).
结论:
- 前列腺支架为BPH提供了一个可行的,最少侵入性的治疗选择.
- 目前正在进行的研究和临床试验正在评估新的支架设计和材料.
- 需要更长期的数据来优化患者选择并确认持续的益处.
相关概念视频
Clinical Trials: Overview
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
Effects of EDTA on End-Point Detection Methods
Different methods, such as visual observance of metal-ion indicators, spectroscopic techniques, and potentiometric methods, can determine the endpoint of an EDTA titration.
In the visual method, metal-ion indicators (metallochromic dyes), which have distinct colors in their free and complex forms, are added to the mixture to signal the titration's end point. They form stable complexes with metal ions, but these complexes are weaker than the corresponding metal–EDTA complexes. As a result, EDTA...
In the visual method, metal-ion indicators (metallochromic dyes), which have distinct colors in their free and complex forms, are added to the mixture to signal the titration's end point. They form stable complexes with metal ions, but these complexes are weaker than the corresponding metal–EDTA complexes. As a result, EDTA...
Assessment of the Rectum and Anus
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Eyewitness Memory
Eyewitness memory refers to the recollection of events by someone who has directly witnessed them, often serving as critical evidence in legal settings. This type of memory is commonly used in criminal cases where a witness describes details like a suspect's appearance, clothing, or behavior during a crime. However, despite its perceived reliability, eyewitness memory is prone to significant errors.
One such error is memory distortion, which occurs because human memory does not function like a...
One such error is memory distortion, which occurs because human memory does not function like a...
Urologic Endoscopic Procedure: Cystoscopic Examination
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...


